Individual
MS. SHIRLEEN ANN BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.,CCC-SLP
Contact information
Practice address
1020 E BRIDGE ST, BREAUX BRIDGE, LA 70517-3810
(337) 332-1821
Mailing address
1020 E BRIDGE ST, BREAUX BRIDGE, LA 70517-3810
(337) 332-1821
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4766
LA
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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